Hypoglycemia

Question 1

Diagnostic criteria of Hypoglycemia

Answer 1

WHIPPLE’S TRIAD
• Low plasma glucose ≤60 mg/dL
• Symptoms consistent with hypogylcemia (assoc. with the symptoms of CNS)
• Relief of symptoms if plasma glucose is raised

Question 2

o Affects also the Autonomic Nervous System (ANS)
o Predominantly found in px with_ hypoglycemia (occurs _ after meal)

Answer 2

NEUROGENIC

reactive; 4 hours

Question 3

NEUROGENIC includes

Answer 3

Tremor
Palpitations
Anxiety
Diaphoresis

Question 4

NEUROGLYCOPENIC includes

Answer 4

Dizziness
Tingling
Blurred vision
Confusion
Behavioral change

Question 5

o Dec glucose supplies in the brain = impaired brain function
o Occurs when glucose level is <_
o Occurs in _ hypoglycemia (after _ of no food intake)

Answer 5

40mg/dL;

fasting;

10 hours

Question 6

NV (FBS):

Answer 6

70 - 99 mg/dL

Question 7

Hyperglycemic hormones are released into the circulation (to promote the inc BG)

Answer 7

65 - 70 mg/dL

Question 8

• Strongly suggests hypoglycemia (still need to follow whipple’s triad)
• Found in multiple/series glucose testing

Answer 8

equal or <60 mg/dL

Question 9

Observable symptoms of hypoglycemia appears

Answer 9

55 mg/dL

Question 10

Impairment of cerebral function begins

Answer 10

50 mg/dL

Question 11

alcohol consumption can cause:
inhibition of _ ;
increase _

Answer 11

hepatic gluconeogenesis;

glycogen phosphorylase activity

Question 12

HYPOGLYCEMIA Causes

Answer 12

AACES

Alimentary Hypoglycemia (reactive hypoglycemia)
Alcohol consumption
Cortisol & Growth Hormone Deficiencies
End Stage Renal Dx
Severe Sepsis

Question 13

enzyme involved in glycogenesis→glucose is converted to glycogen

Answer 13

glycogen phosphorylase